Individual provider · Type 1 NPI

Ivala Lyn Gilman

Addiction (Substance Use Disorder) Counselor · Dunmore, PA

NPI number 1336922905 Active

Practice location

118 Monahan Ave
Dunmore, PA 18512-1700

Call (570) 241-0359 Map

Mailing address

124 Gardner Ln
Clarks Summit, PA 18411-9438

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336922905

Ivala Lyn Gilman's National Provider Identifier is 1336922905, issued on Aug 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dunmore, PA. The record was last updated on Aug 16, 2023.